08/31/2026
Could G*E Offer Relief for Chronic Knee Arthritis?
For people living with knee osteoarthritis, pain can gradually affect walking, sleep, exercise, and everyday activities. Treatments such as physical therapy, medication, injections, and joint replacement may help, but they are not ideal or effective for everyone. A newer option called genicular artery embolization, or G*E, is being studied as a minimally invasive way to reduce arthritis-related knee pain.
What Is G*E?
Genicular artery embolization is a catheter-based procedure performed by an interventional radiologist. Rather than replacing the knee joint or repairing damaged cartilage, G*E targets abnormal blood vessels around the knee that are associated with inflammation.
With osteoarthritis, the lining around the joint can become irritated and develop an increased supply of small blood vessels. These vessels may contribute to persistent inflammation and pain. During G*E, a physician guides a thin catheter through an artery, usually from the groin or wrist, to the blood vessels surrounding the knee. Tiny particles are then released to reduce blood flow to selected abnormal vessels.[1][2]
The procedure is performed with imaging guidance, allowing the physician to treat specific vessels while attempting to preserve the normal circulation needed by the knee and surrounding tissues.
What Happens During the Procedure?
G*E usually begins with a local anesthetic to numb the catheter-entry site. Patients may also receive medication to help them relax, although general anesthesia is typically not required.
The physician uses contrast dye and live X-ray imaging to map the arteries around the knee. After identifying vessels that appear to be contributing to inflammation, the physician injects very small embolic particles. The catheter is then removed, and pressure or a bandage is placed over the entry site.
Because there is no large incision, G*E is generally performed as an outpatient procedure. Many patients can return home the same day, although recovery instructions vary by medical center and by the patient’s health.[3][4]
Potential Benefits and Limitations
The main goal of G*E is to reduce pain and improve function. Some patients report better mobility and less discomfort after treatment, while others experience limited or temporary improvement. Pain relief may occur gradually rather than immediately.
G*E does not rebuild cartilage, straighten a severely damaged joint, or correct every cause of knee pain. It may be considered for selected people with osteoarthritis, particularly those who continue to have symptoms despite conservative treatment or who want to postpone knee replacement.[5][6]
The treatment is still relatively new for knee osteoarthritis. Although it is available at some hospitals and specialty centers, its long-term effectiveness, ideal patient selection, and insurance coverage continue to vary. In some settings, it is considered investigational for osteoarthritis rather than an established replacement for standard treatments.[7]
Risks and Questions to Ask
Potential complications include bruising or bleeding at the catheter site, temporary worsening of knee pain, skin discoloration, infection, or a reaction to the contrast dye. Rarely, particles may travel to unintended vessels and affect nearby skin or tissue.
Before considering G*E, a patient should ask:
1. What is causing my knee pain?
2. Have nonsurgical treatments been adequately tried?
3. Is my arthritis severity appropriate for G*E?
4. What results does this center typically see?
5. What are the alternatives, including continued therapy, injections, or knee replacement?
6. Will my insurance cover the procedure?
G*E may become a useful tool for managing selected cases of knee osteoarthritis, but it is not a universal solution. A consultation with both an orthopedic specialist and an experienced interventional radiologist can help determine whether the potential benefits outweigh the risks for an individual patient.
Sources
[1] Genicular artery embolization for treatment of knee ... - PMC https://pmc.ncbi.nlm.nih.gov/articles/PMC9971280/
[2] Geniculate Artery Embolization (G*E): A Minimally Invasive ... https://radiology.ucsf.edu/patient-care/services/geniculate-artery-embolization-gae-minimally-invasive-option-manage-knee-pain-osteoarthritis
[3] Genicular Artery Embolization (G*E): What It Is & Procedure https://my.clevelandclinic.org/health/procedures/genicular-artery-embolization-gae
[4] Knee Embolization for Osteoarthritis - YouTube https://www.youtube.com/watch?v=BvSWa7P-aEM
[5] Genicular Artery Embolization (G*E) https://www.uclahealth.org/medical-services/radiology/interventional-radiology/treatments-procedures/genicular-artery-embolization-gae
[6] Genicular artery embolization for knee pain | Ohio State Health ... https://health.osu.edu/health/bone-and-joint/genicular-artery-embolization-for-knee-pain
[7] Little-Used Procedures May Relieve Osteoarthritis Pain https://www.arthritis.org/health-wellness/healthy-living/managing-pain/pain-relief-solutions/therapy-options-for-osteoarthritis-pain